ArticleThe journal of allergy and clinical immunology. In practice
Exposure to Extreme Heat Events Is Associated with Increased Hay Fever Prevalence among Nationally Representative Sample of US Adults: 1997-2013.
Article in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Association of meteorological factors with allergic rhinitis: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Climate Change-Mediated Temperature Extremes: Effects on the Immune System and Associations with Immune-Related Diseases.Clinical reviews in allergy & immunology · 2026Review
- Environmental exposure to air pollution and climate: Intersecting the impact on ear and nose health and chemosensory function (Review).International journal of molecular medicine · 2026Review
- Climate change and its environmental and health effects from 2015 to 2022: A scoping review.Heliyon · 2025Review
- Risk factors of allergic rhinitis and its prevention strategies.Frontiers in allergy · 2024Review
- The Association of Season of Surgery and Patient Reported Outcomes following Total Hip Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Climate change and epigenetic biomarkers in allergic and airway diseases.The Journal of allergy and clinical immunology · 2023Review
- The minimal clinically important difference of app-based electronic patient-reported outcomes for hay fever.Clinical and translational allergy · 2023Article
- 25-year retrospective longitudinal study on seasonal allergic rhinitis associations with air temperature in general practice.NPJ primary care respiratory medicine · 2022Article
- Racial Disparities in Climate Change-Related Health Effects in the United States.Current environmental health reports · 2022Review
- Climate change, human health, and the exposome: Utilizing OMIC technologies to navigate an era of uncertainty.Frontiers in public health · 2022Review
- Effects of temperature variability and extremes on spring phenology across the contiguous United States from 1982 to 2016.Scientific reports · 2020Article
- An Overview of Rising CO₂ and Climatic Change on Aeroallergens and Allergic Diseases.Allergy, asthma & immunology research · 2020Review
- Associations between alteration in plant phenology and hay fever prevalence among US adults: Implication for changing climate.PloS one · 2019Article
- Impact of Climate Change on Pollen and Respiratory Disease.Current allergy and asthma reports · 2018Review
- Primary Prevention of Airway Allergy.Current treatment options in allergy · 2018Review
- Microarray molecular mapping of horses with severe asthma.Journal of veterinary internal medicineArticle
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundWarmer temperature can alter seasonality of pollen as well as pollen concentration, and may impact allergic diseases such as hay fever. Recent studies suggest that extreme heat events will likely increase in frequency, intensity, and duration in coming decades in response to changing climate.
objectiveThe overall objective of this study was to investigate if extreme heat events are associated with hay fever.
methodsWe linked National Health Interview Survey (NHIS) data from 1997 to 2013 (n = 505,386 respondents) with extreme heat event data, defined as days when daily maximum temperature (TMAX) exceeded the 95th percentile values of TMAX for a 30-year reference period (1960-1989). We used logistic regression to investigate the associations between exposure to annual and seasonal extreme heat events and adult hay fever prevalence among the NHIS respondents.
resultsDuring 1997-2013, hay fever prevalence among adults 18 years and older was 8.43%. Age, race/ethnicity, poverty status, education, and sex were significantly associated with hay fever status. We observed that adults in the highest quartile of exposure to extreme heat events had a 7% increased odds of hay fever compared with those in the lowest quartile of exposure (odds ratios: 1.07, 95% confidence interval: 1.02-1.11). This relationship was more pronounced for extreme heat events that occurred during spring season, with evidence of an exposure-response relationship (P
conclusionsOur data suggest that exposure to extreme heat events is associated with increased prevalence of hay fever among US adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.